Critical Care

Question 1

Pathology most commonly associated with acute respiratory distress syndrome?

Answer 1

Diffuse Alveolar Damage

Question 2

PaO2/ FiO2 suggestive of moderate respiratory distress syndrome

Answer 2

</= 200mmHg

Question 3

Type of Respiratory Failure:
COPD Exacerbations

Answer 3

Type II ( Hypercarbic) Respiratory Failure

Question 4

Type of Respiratory Failure:
Pulmonary edema from Heart Failure

Answer 4

Type I ( Hypoxemic) Respiratory Failure

Question 5

Underlying cause of Type II respiratory failure?

Answer 5

Neuromuscular problems

Question 6

Differential Diagnosis for 52/M smoker, hypertensive, diabetic, (+) severe , crushing chest pain , cold sweats, shortness of breath 1-hr duration?

Answer 6

1. Acute pulmonary embolism
2. Acute massive myocardial infarction
3. Acute Aortic dissecting aneurysm

Question 7

Most common symptom of pulmonary embolism?

Answer 7

Unexplained breathlessness

Question 8

Principal test for the diagnosis of pulmonary embolism

Answer 8

Chest CT with IV Contrast

Question 9

Other than sinus tachycardia , the most frequent ECG abnormality in pulmonary embolism is?

Answer 9

S1Q3T3 Sign ( McGinn-White Sign)

Question 10

Best- known indirect sign of pulmonary embolism in 2D echo.

Answer 10

McConnell’s Sign

Question 11

CT Scan findings in COVID-19

Answer 11

Bilateral Ground Glass Opacities

Question 12

Covid-19 CT scan if CXR is unremarkable?

Answer 12

No longer necessary since CXR is normal

Question 13

COVID-19 CBC

Answer 13

1. Decreased lymphocytes (NV: 1000-4800)
2. Normal / Decreased WBC (NV: 4500-11000)
3. DECREASED platelet Count (NV: 150,000-450,000)
4. Increased Hematocrit (NV: 41%-50%)

Question 14

In patients with COVID-19 who are not dyspneic, a significantly low oxygen saturation is still possible

Answer 14

Phenomenon of “Happy Hypoxemia”

Question 15

Classic signs of PE?

Answer 15

Tachycardia
Low-grade fever
Neck vein distention

Question 16

Most frequent symptoms of PE

Answer 16

Dyspnea

Question 17

Most frequent sign of PE

Answer 17

Tachypnea

Question 18

Type pf shock wherein CVP and CO are both decreased while SVR is increased?

Answer 18

Hypovolemic shock

Question 19

Type of Shock wherein CVP & SVR are both increased while CO decreased?

Answer 19

Cardiogenic shock

Question 20

Vasopressors of choice for patients with distributive shock?

Answer 20

Norepinephrine

Question 21

Obstructive Sleep Apnea/ Hypopnea Syndrome (OSAHS) is likely contributory to the following comorbidities ? (5)

Answer 21

1. Pericardial effusion, Pulmonary Hypertension, or Right Sided Heart Failure
2. NAFLD
3. Refractory Hypertension, Systemic Hypertension, Coronary Artery Disease, Cardiac arrhythmia, Heart failure, Stroke
4. Metabolic Syndrome and Type 2 Diabetes
5. Neuropsychiatric Dysfunction